Further adaptation of the adult role in play and learning and the form(s) of mediation needed: Children in this group may need more frequent and higher levels of mediation (e.g. ‘hand over hand’ guidance).
Increased sensory play activities for children with more complex needs. Consider Intensive Interaction techniques.
Adaptation of play resources and environments to meet complex needs e.g.:
- Physical needs;
- Visual impairment;
- Hearing.
Support from specialist services may be required (see Sensory and/or Physical Needs section).
Implement appropriate play interventions for children with specific individual needs (e.g. Play Bank or Identiplay).
Use individualised Play Plans, IEPs, ILDPs and/or Engagement Profile and Scale to address specific skills identified through assessment.
Provide time and space for targeted support on a consistent basis (e.g. access to a smaller space to complete interventions, increased staff: child ratios for times when intensive support and interventions are being delivered).
Use the Plan-Do-Review process to monitor the child’s progress, alongside any external agencies’ advice, whilst collating evidence of the impact of the strategies being used (please refer to the Best Practice Walkthrough document).
Where the child has an Education, Health and Care Plan (EHCP), refer to described outcomes, provision and implement. Continue to use the Plan- Do-Review process against the specified outcomes and provision. Regularly update with strategies as they are tried. Complete Annual Review of EHCP.